Beebe Christian School




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Application
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STUDENT ENROLLMENT APPLICATION FORM

 

Beebe
Christian School
 

821 W.
Lake Street
 

Fort Collins, CO

970-482-4409
80521

Date of Enrollment Grade Entering

Legal Name of Student Male Female

 

Last First Middle

Age Date of Birth Place of Birth

 

(Month/Date/Year)

Home Address

Mailing Address (if different)

Attend Church _yes _no Where? Denomination

Baptized - yes no When?

Last School Attended & Address

Public Private Last Teacher's Name

Student is living with Languages spoken at home
　

Father

Mother

Guardian

Full Name

 　 　 　

Church Affiliation

 　 　 　

Occupation

 　 　 　

Work Phone

 　 　 　

Employer's Name

& Address

 　 　 　

Home Phone

 　 　 　

Cell Phone

 　 　 　

E-Mail Address

 　 　 　

Formal Education

 　 　 　

*Place correct symbol in parenthesis where applicable (X) deceased, (S) separated, (D) divorced, (F) foster parents

I would be willing to assist at the school in the following ways:

Room Parent Substitute Teacher Work bees

Guest Speaker in Class Teacher's Assistant Hot Lunch Program

- Transportation for Field Trips _ Supervision Library Assistant

- Program Decoration - Sports Activities Reading with or to a child

Signature of Parent or Legal Guardian Date